Organization
WILDFLOWER COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE N RUSSO LPC (OWNER)
(630) 687-0032
Entity
Organization
Contact information
Practice address
4000 PORTAGE ST STE 107, KALAMAZOO, MI 49001-4962
(269) 224-2339
Mailing address
PO BOX 334, NAZARETH, MI 49074-0334
(269) 224-2339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
01/16/2024
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